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1912934035
BRYAN L JOHNSON
DURANT, OK
NPI
1912934035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2103)
Enumeration Date
2006-06-26
Last Update Date
2021-02-16
Business Address
DR. BRYAN L JOHNSON O.D.
698 WESTSIDE DR
DURANT, OK 74701-3084
Phone number: 580-795-4447
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Mailing Address
DR. BRYAN L JOHNSON O.D.
698 WESTSIDE DR STE 102
DURANT, OK 74701-3085
Phone number: 580-795-4447
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